Edgemere Estates

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 20, 2026.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 20, 2026.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 4, 2026.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 4, 2026.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 4, 2026.

Dispose of garbage and refuse properly.

Rule F0814. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jun 4, 2026.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 28, 2025.

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Rule F0744. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 28, 2025.

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Rule F0757. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 28, 2025.

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Rule F0947. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 28, 2025.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 2, 2025.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 2, 2025.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 2, 2025.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 2, 2025.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Rule F0921. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 2, 2025.

Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

Rule F0655. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 11, 2025.

Plan the resident’s discharge to meet the resident’s goals and needs.

Rule F0660. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 11, 2025.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 11, 2025.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 11, 2025.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 11, 2025.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 11, 2025.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 21, 2025.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 24, 2025.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Rule F0607. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 1, 2024.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 1, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 1, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jun 18, 2024.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 28, 2024.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 19, 2024.

Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

Rule F0655. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 14, 2024.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: May 8, 2024.

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Rule F0678. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: May 8, 2024.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 8, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. G: actual harm. Correction date, as CMS recorded it: Apr 18, 2024.

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Rule F0575. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.

Rule F0577. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Rule F0585. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Respond appropriately to all alleged violations.

Rule F0610. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Ensure each resident receives an accurate assessment.

Rule F0641. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Rule F0756. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Rule F0758. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 5, 2024.

Dispose of garbage and refuse properly.

Rule F0814. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Rule F0868. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Keep all essential equipment working safely.

Rule F0908. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Rule F0921. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Post nurse staffing information every day.

Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Rule F0835. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 18, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 18, 2024.

Honor the resident’s right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Rule F0559. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 18, 2024.